Resident Support for the Federally Mandated Smoke-Free Rule in Public Housing: 2018-2022.
Resident Support for the Federally Mandated Smoke-Free Rule in Public Housing: 2018-2022.
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DOI：
10.3390/ijerph21010102
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发表时间：
2024-01-17
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本研究调查了吸烟者和非吸烟者对住房和城市发展部 (HUD) 强制无烟规定四年内的支持情况。采用重复横断面设计，哥伦比亚特区 18 岁以上公共住房居民 (n = 529) 在三个时间点完成调查：2018 年 7 月（规则前）、2018 年 11 月至 2020 年 3 月（规则后）和 2020 年 9 月至 2022 年 12 月（规则后 + COVID-19）。同意在所有室内场所和建筑物 25 英尺范围内禁止吸烟，表明了对该规则的全力支持。描述性统计数据显示，吸烟者不同时间段的支持率存在显着差异（分别为 5.3%、30.7% 和 22.5%），而非吸烟者不同时间段的支持率也存在类似差异（分别为 48.2%、52.2% 和 40.0%）。在非分层回归分析中，规则前的支持率低于规则生效时的支持率（aOR = 0.47，95% CI = 0.25，0.90），并且烟草使用者支持该规则的可能性较小（aOR = 0.34，95% CI = 0.23，0.50）。分层逻辑回归结果显示，与规则后支持相比，吸烟者规则前支持较低（aOR = 0.14，95% CI = 0.03，0.59）；非吸烟者的支持并没有随时间而变化。总体而言，调查结果表明，在无烟规则实施 4 年后，人们对无烟规则的支持率较低。让居民参与规则并促进健康和福祉可能会进一步提高政策的有效性和接受度。
This study examines support for the Department of Housing and Urban Development’s (HUD) mandatory smoke-free rule up to four years post-rule among smokers and non-smokers. A repeated cross-sectional design was used where District of Columbia public housing residents aged 18+ (n = 529) completed surveys during three time points: July 2018 (pre-rule), November 2018–March 2020 (post-rule), and September 2020–December 2022 (post-rule + COVID-19). Full support for the rule was indicated by agreeing that smoking should not be allowed in all indoor locations and within 25 feet of buildings. Descriptive statistics showed significant differences in support across time for smokers (5.3%, 30.7%, and 22.5%, respectively) and similar support across time for nonsmokers (48.2%, 52.2%, and 40.0%, respectively). In unstratified regression analysis, pre-rule support was lower than when the rule was in effect (aOR = 0.47, 95% CI = 0.25, 0.90), and tobacco users were less likely to support the rule (aOR = 0.34, 95% CI = 0.23, 0.50). Stratified logistic regression results showed that pre-rule support was lower among smokers compared to post-rule support (aOR = 0.14, 95% CI = 0.03, 0.59); support among nonsmokers did not vary by time. Findings overall indicate low support for the smoke-free rule up to 4 years post-implementation. Engaging residents with the rule and promoting health and well-being may further enhance policy effectiveness and acceptance.